简介：BackgroundAlthoughalotofstudieshavebeenperformedonthelongtermoutcomeinadultswithrepairedtetralogyofFallot(TOF)indevelopedcountries,butrareinformationforprimarycorrectionofadultTOFisavailable.Theresearchfocusingontheeffectoftransanularpatch(TAP)forprimarycorrectionofTOFinadulthoodisstillabsent.Viaretrogradeanalysisof7-yearfollow-up,thisstudywasdesignedtoexploretheeffectofthetransanularpatchforprimarycorrectioninadultTOFonthesurgicaloutcome,postoperativecardiacfunctionandmorbidity,aswellastoaddressthemanagementofthecomplication.MethodsAtotalof151consecutiveadultpatients(age≥18)whounderwentprimaryradicalcorrectionofTOFform2007-2014wereselectedanddividedintoTAPandnon-TAPgroupsbasedontheEACTSdatabase.Resultsofdemographicstatisticcharacteristics,echocardiography,color-Dopplerechocardiography,cardiovascularenhancedcontrastcomputedtomography(CT),and/orcardiaccatheterization;intraoperativeinformation,postoperativeresultsandoutcomeswerereported.Duringfollow-up,shorttermwasdefinedwithin3monthsafterdischarge,andmidtermwasdefinedas6-12monthsafterdischarge.ResultsTotalpostoperativemortalitywas5.96%inallthecases,6.96%inTAPgroup,and2.78%(1/36)innon-TAPgroup.Therewasnosignificantdifferencebetweentwogroups.Follow-upperiodrangedfrom3monthsto62months.Readmissionoccurredandwasfollowedbymedicaltreatmentwithoutre-dosurgeryin6cases(3.97%).TheshorttermechocardiographydemonstratedthatpulmonaryregurgitationandshorttermtricuspidregurgitationafterdischargeinTAPgroupweremoresevere(P<0.001).Theshorttermresidualpulmonarystenosis(RVOTO)severityafterdischargeinTAPgroupwaslesssevere(P=0.018).MidtermechocardiographyafterdischargedemonstratedpulmonaryregurgitationandtricuspidregurgitationinTAPgroupwerestillmoresevere(P=0.003).TheseverityofresidualpulmonarystenosisinT